HomeMy WebLinkAbout229878 03/12/14 CITY OF CARMEL, INDIANA VENDOR: 367093
® ? ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $***"****43.89
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 229878
CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 43.89 TRAVEL FEES & EXPENSE
FEB 21 2014
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LY:
PRasCMED BY STATE BOARD Or ACCOUNTS f GENCP AI.FOR1111G.101 1198
MILEAGE CLIM
(OOV[ANNENTAL U111T'1 ACCOU T F APPROPRIATION NO. FOR _
tOF;10E,BOARD,DEPART1@fr OR INS=rION)
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FROM TO SPEEDO ETER AUTO MILEAGE
DATE RF1lD1 INATURE OF BUSINESS MILES 0,5iP6 I
2-4 POINT POINT START FINISH j TRAVELED PER MILED. ,, ��
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AUTO LICENSE NO. � TOTALS
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i SPEEDOMETER READING columns are to be used only when distance between points cannot be delarridni d by fixf d ileage or.otiicial highway.map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foregoing ace unt is jus a d correct,drat the amount claimed is legally due,after allowing all just credits
end that no part of the same has been paid. (�
Data 2.7
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An Invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
367093 Clark, Alyssa Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/18/14 Reimb Mileage 11/6/13 - 2/14/14 $ 43.89
Total $ 43.89
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20`
Clerk-Treasurer
Voucher No. Warrant No.
367093 Clark, Alyssa Allowed 20
In Sum of$
$ 43.89
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
Po#or Board Members
INVOICE NO. ACCT#iTITLE AMOUNT
Dept#
1081-4 Reimb 4343000 $ 43.89 1. 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
&Mar 2014
Signature
$ 43.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund